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Services

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Provider Resources

Click here for a List of Reportable Diseases and LHD Phone Numbers

All reportable diseases (according to Wisconsin law DHS 145) require both a laboratory report AND a provider report to be sent to the public health agency in the jurisdiction where the patient resides. Provider reports for Brown County residents can be submitted via the Wisconsin Electronic Disease Surveillance System (WEDSS) OR through one of the following report forms via fax to (920) 448-6479:

Acute and Communicable Disease Report Form F-44151 (General)
https://www.dhs.wisconsin.gov/forms/f4/f44151.pdf

Sexually Transmitted Infections Report Form F-44243
https://www.dhs.wisconsin.gov/forms/f4/f44243.pdf

Latent Tuberculosis Report Form F-02265
https://www.dhs.wisconsin.gov/forms/f02265.pdf

Lyme Disease Report Form F-02188
https://www.dhs.wisconsin.gov/forms/f02188.pdf
 
*To report a case of HIV, please see the DHS fact sheet for providers that includes a link to the report form and reporting instructions https://www.dhs.wisconsin.gov/publications/p0/p00541.pdf
 
*To report any confirmed OR suspect Category I Disease (active tuberculosis, measles, pertussis, hepatitis A, etc.) in Brown County, please call (920) 448-6400 and use option 4 to reach the intake nurse prior to submitting a report. Use the after-hours option if applicable.
 
 (Through WI TB Dispensary for distribution by Brown County Public Health)
Latent TB Infection Initial Request for Medications F-00905
https://www.dhs.wisconsin.gov/forms/f0/f00905.pdf

OR

Active TB Disease Initial Request for Medications F-44000
https://www.dhs.wisconsin.gov/forms/f4/f44000.pdf
Fax the appropriate form to (920) 448-6479 along with a copy of the chest X-ray/CT impression, lab results, and current medication list if possible.

If you have previously reported an LTBI case and the patient received treatment through private pharmacy/means other than BCPH, please send us the Latent TB Infection Follow-Up Report F-44125 (https://www.dhs.wisconsin.gov/forms/f4/f44125.pdf) upon completion of treatment.
 Department of Health Services (DHS)
https://www.dhs.wisconsin.gov/

(A to Z listing of diseases for more information including patient fact sheets, reporting requirements/forms, and other important details)

Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/